ALiEM
AUGUST 9, 2023
Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric lung ultrasound. Then test your skills on the ALiEMU course page to receive your PEM POCUS badge worth 2 hours of ALiEMU course credit. Take the ALiEMU PEM POCUS: Pediatric Lung Ultrasound Quiz Module Goals List indications for performing a pediatric lung point-of-care ultrasound (POCUS).
Emergency Medicine Cases
AUGUST 8, 2023
In this ECG Cases blog with Dr. Jesse McLaren we interpret 10 ECG cases and explore cardiac, metabolic and GI causes: We consider anginal equivalents, and look for ECG signs of Occlusion MI, including subacute occlusion from delayed presentations. We consider electrolyte disturbances and look for ECG signs of hyperkalemia or hypokalemia/hypomagnesemia, and we consider the differential of diffuse ST depression with reciprocal ST elevation in aVR, and false positive STEMI.
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Pediatric EM Morsels
AUGUST 11, 2023
This is the 601st Ped EM Morsel ! Having authored 575 ( well, now 576 ) of them, I am often quite convinced that there are no new topics to discuss. Then July happens and we get 14 more amazing interns who help educate me and remind me that there is always more to learn. Recently, Dr. Teresa Crow encountered an important topic in children that deserves its own Morsel.
American Ambulance Association
AUGUST 10, 2023
Honor YOUR Stars in Washington, DC The American Ambulance Association’s Stars of Life program celebrates the contributions of ambulance professionals who have gone above and beyond the call of duty […] The post 2023 Stars of Life Nominations Are OPEN! appeared first on American Ambulance Association.
ALiEM
AUGUST 7, 2023
A 10-year-old male with no past medical history presents to the Emergency Department (ED) by EMS for evaluation of an injury sustained while playing tackle football. The patient was forcibly hit by another child against a tree. He complains of sharp right shoulder and chest pain that worsens with movement of his right upper extremity and he arrives wearing a sling to immobilize the arm.
Emergency Medicine Cases
AUGUST 8, 2023
In this Part 1 of our 2-part podcast series on dental emergencies, with the help of Dr. Chris Nash and Dr. Richard Ngo, we tackle these atraumatic dental emergencies: infections ranging from dental caries to pulpitis and gingivitis to dental abscess, cellulitis and deep space infection, as well as acute necrotizing gingivitis, pericoronitis and dry socket.
EMergucate
AUGUST 8, 2023
The following chest x-ray is from an 8 month old with coryzal illness & increased work of breathing.
Paramedicine Now brings together the best content for paramedicine professionals from the widest variety of thought leaders.
Critical Care Scenarios
AUGUST 9, 2023
Dealing with the good and bad aspects of tissue mobility during percutaneous procedures. Dealing with the good and bad aspects of tissue mobility during percutaneous procedures.
The Skeptics' Guide to EM
AUGUST 5, 2023
Reference: Easter JS et al. Comparison of PECARN, CATCH, and CHALICE rules for children with minor head injury: a prospective cohort study. Annals of Emergency Medicine 2014. Date: July 10, 2023 Guest Skeptic: Dr. Joe Mullally is a paediatric trainee in the Welsh paediatric training program and interested in Paediatric Emergency Medicine. He is a […] The post SGEM#412: I Can’t Choose…from all the Head Injury Prediction Rules first appeared on The Skeptics Guide to Emergency Medicine.
EMergucate
AUGUST 10, 2023
Answers: Question 1: Mild hyponatremia Moderate Hyperkalaemia Hyperphosphataemia Hypocalcaemia Hyperuricaemia High creatinine and urea consistent with renal impairment, with a … Continue reading →
Core Ultrasound
AUGUST 10, 2023
Rotator Cuff Non-Rotator Cuff Shoulder Exam Knee Exam
Don't Forget the Bubbles
AUGUST 9, 2023
You’ve sent some bloods on a child with lethargy. Their free T4 is normal but their TSH is raised. What does this mean? Do they have subclinical hypothyroidism? Subclinical hypothyroidism is a hormonal condition. Thyroid-stimulating hormone (TSH) serum levels are raised, while free T4 (FT4) values are normal. We’ll use some cases to think about the different causes of subacute hypothyroidism, but first, let’s explore what it is.
REBEL EM
AUGUST 7, 2023
Background: Getting a definitive airway in a critically ill trauma patient can be a stressful situation. The potential for soiled airways, cervical spine injuries, maxillofacial injuries and head injuries combined with agitation/delirium, altered mental status and hypoxemia can make securing a definitive airway both an anatomic and physiologic challenge.
EMergucate
AUGUST 8, 2023
A 45-year-old man presents with vomiting and numbness on his fingers. He has CML and he is on chemotherapy. His blood biochemistry showed the following: Na = 130 mmol/L K = 6.
Dr. Smith's ECG Blog
AUGUST 6, 2023
This may be my best lecture yet. I gave it virtually to the Kaiser group. You can access it also on the "Lectures and Podcasts" link on the Banner above. [link] == MY Comment, by K EN G RAUER, MD ( 8/6 /2023 ): == Brilliant talk by Dr. Smith on the state of the art addressing the “need for OMI — and the fallacy of STEMI”. For skeptics ( including cardiologists ) — Any questions about “Who is Dr.
Don't Forget the Bubbles
AUGUST 7, 2023
Heart rate (HR) and respiratory rate (RR) are THE major vital signs used in Advanced Paediatric Life Support ( APLS) guidance , sepsis guidelines , and Paediatric Early Warning Scores (e.g., PEWS). Vital signs outside the normal range are used as a proxy for the severity of illness and are also used in evaluating the risk for serious bacterial infection or risk for sepsis in children and young people (CYP).
ACEP Now
AUGUST 8, 2023
Sure, he made the national news for saving a life at an Eagles game while wearing an elaborate Mummer’s Day costume, but did you know he’s also his residency’s social chair and has all the best local recommendations for ACEP23 attendees? Read on! Vincent Basile, DO, an emergency medicine resident at Einstein Medical Center in north Philadelphia, was focused on cheering for his hometown Eagles on January 1, 2023, when he realized a fellow fan was experiencing a medical crisis.
EMergucate
AUGUST 8, 2023
PH = 7.30, that is mild acidaemia. HCO3 = 16.6 mmol/L. So, we have metabolic acidosis. Next, we need to calculate the anion gap and the compensation for this patient.
Medgadget
AUGUST 9, 2023
Researchers at the University of Würzburg in Germany have developed a portable scanner that is the first to be able to image humans using Magnetic Particle Imaging (MPI). The technology could provide a radiation-free alternative to techniques such as X-ray fluoroscopy and digital subtraction angiography for minimally invasive endovascular procedures, and is well suited for viewing processes such as blood flow.
EMDocs
AUGUST 7, 2023
Authors: Lauren Willoughby, MD (Education Fellow, University of Wisconsin); Benjamin H. Schnapp, MD, MEd (Associate Program Director, University of Wisconsin) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF), Marina Boushra (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case A 36-year-old pregnant woman at 21 weeks gestation presents to the ED with chest pain.
University of Maryland Department of Emergency Med
AUGUST 6, 2023
Prior research has shown that EPs can accurately detect ocular pathology using POCUS. A recent retrospective review looked at how ult.
ESO
AUGUST 11, 2023
In 2022, 80% of all fires reported took place on residential properties. Since these fires accounted for the vast majority of fire calls and a total estimated property loss of over a billion dollars (with an additional $270 million in estimated content loss), ESO decided to take a deeper dive into the data to find out areas of improvement. A need for improvement ESO’s analysis has shown that the total estimated value of these properties was 5x greater than the total estimated recorded value o
Medgadget
AUGUST 9, 2023
Researchers at the University of Ottawa have developed a light-activated hydrogel treatment for corneal disease. Many of the people who suffer from corneal disease, which can include corneal thinning, are not suitable for a corneal transplant, and obtaining transplants is a challenge for those who are. This technology is intended to assist with thickening and reshaping the cornea, and it may pave the way for an alternative to transplants in the future.
EMDocs
AUGUST 8, 2023
Today on the emDOCs cast with Brit Long, MD ( @long_brit) , we discuss testicular torsion, including the presentation, evaluation, and management. Episode 83: Testicular Torsion Background Testicular torsion has essentially no associated mortality, little morbidity, and no literature support for diminished fertility. However, patients remain concerned about losing a testicle, and there is high medicolegal risk.
Clinical Correlations
AUGUST 11, 2023
By Galen Hu Peer Reviewed It seemed like everyone I spoke to about heart attacks during my clinical year of medical school had a different opinion on the famous mnemonic “MONA BASH”: Morphine Oxygen Nitrates Aspirin/Anti-platelet Beta-blocker Angiotensin-converting enzyme inhibitor/Angiotensin receptor blocker Statin Heparin Having.
FirstWatch
AUGUST 9, 2023
View Recording The FirstWatch Fire Operations Analytics/Accreditation Module (FOAM) is now well established as a leader in fire operations management information and Accreditation effort support. It continues to evolve, and we are excited to share some of our new geo-spatial reporting options. These enhancements increase your ability to analyze and present accurate and verifiable data that produce consistent and credible management information based upon the accreditation requirements of CFAI an
Medgadget
AUGUST 8, 2023
EarliTec Dx , a medtech company based in Georgia, has developed the EarliPoint Evaluation System for Autism Spectrum Disorder (ASD). This common neurodevelopmental condition is often overlooked in affected children, leading to a lack of early intervention and care. Part of the issue is a lack of access to specialists who can diagnose the condition. Another issue is the lack of quantitative tools that can assist clinicians in diagnosing ASD, and instead they rely on subjective measurements and ob
EMDocs
AUGUST 10, 2023
Welcome back to the “52 in 52” series. This collection of posts features recently published must-know articles. Today we look at the DIRECT MT trial. Author: Brannon L Inman, MD (Critical Care Fellow, Orlando, FL) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Endovascular Thrombectomy with or without Intravenous Alteplase in Acute Stroke AKA: The “DIRECT MT” Trial Clinical question: In patients with anterior circulation large vessel occlusion, is thrombectomy alone n
ACEP Now
AUGUST 8, 2023
Friends don’t let friends eat at bad restaurants. We crowdsourced ACEP members who live near Philadelphia to help you make the most of your time in the City of Brotherly Love. Favorite bar or restaurant for catching up with old friends? “Parc—bustling French Bistro on iconic Rittenhouse Square.” —Edward T. Dickinson, MD FACEP “ Graffiti Bar Happy Hour” —Angela Cai, MD, MBA “Laser Wolf is fun because they have great cocktails, and it is easy to order for a group because everything is family
REBEL EM
AUGUST 7, 2023
Background Information: Delirium is a common and serious condition in patients in the intensive care unit (ICU). It is estimated to affect 30-50% of patients in the ICU and haloperidol is the most frequently used agent in treatment (3). One of the most common methods of assessing delirium in the ICU is using the Confusion Assessment Method for Intensive Care Unit (CAM-ICU) which has been found to have a sensitivity of 80% and a specificity of 95.9% (6).
Medgadget
AUGUST 8, 2023
Researchers at ETH Zurich have developed a bacteriophage system to identify and treat bacterial bladder infections. Bacteriophages are viruses that infect bacteria, but these microorganisms have fallen out of favor as a treatment method for infection since antibiotics came along. Well, antibiotics are looking increasingly shaky as bacteria evolve to resist them, so researchers are returning to bacteriophages as a way to treat antibiotic-resistant infections.
EMDocs
AUGUST 5, 2023
We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter. Originally published at JournalFeed , a site that provides daily or weekly literature updates. Follow Dr. Clay Smith at @spoonfedEM , and sign up for email updates here. #1: CT FIRST – Full Body CT Post-OHCA – Does CT Help? Spoon Feed A full-body CT protocol in resuscitated adults with out of hospital cardiac arrest (OHCA) more often – and more quickly – found the cause of a
ACEP Now
AUGUST 8, 2023
Re: “Space Medicine: Emergency Physicians Voyage into the Final Frontier” We read the article in ACEP Now titled, “Space Medicine: Emergency Physicians Voyage into the Final Frontier,” by Sophia Gorgens, MD, with interest, since, as physicians certified by the American Board of Preventive Medicine (ABPM) in Aerospace Medicine, we are also excited about the prospects of expansion of commercial and private spaceflight and its promise to open space travel to a larger and more diverse group of peopl
University of Maryland Department of Emergency Med
AUGUST 9, 2023
ACLS guidelines state that thrombolytics may be considered for suspected pulmonary embolism during cardiac arrest. There is limited data su.
Medgadget
AUGUST 7, 2023
Researchers at the Harvard Wyss Institute have developed an anti-cancer biomaterial treatment that combines adoptive T cell therapy and cancer vaccine technology to treat solid tumors. The researchers have called their technique SIVET, which is short for “synergistic in situ vaccination enhanced T cell”. The approach combines local delivery of cytotoxic T cells with longer lasting cancer vaccine technology that engages with the immune system more broadly for long lasting anticancer action.
EMCrit Project
AUGUST 10, 2023
AMAX4 for crashing anaphylaxis and asthma EMCrit Project by Scott Weingart, MD FCCM.
Dr. Smith's ECG Blog
AUGUST 10, 2023
Case submitted and written by Dr. Mazen El-Baba and Dr. Emily Austin, with edits from Jesse McLaren A 50 year-old patient presented to the Emergency Department with sudden onset chest pain that began 14-hours ago. The nurse alerted the MD because the patient was still symptomatic, diaphoretic and “looking unwell”. What do you think? ECG interpretation: sinus rhythm, normal conduction (PR, QRS, and QTc), normal axis, delayed R-wave progression, and normal voltages.
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